| NPI | 1477064699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 095575) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 098824-1) |
| Enumeration Date | 2017-10-15 |
| Last Update Date | 2023-08-25 |